Provider Demographics
NPI:1619225331
Name:PARKHURST, SHEILA J (PHD, LMP)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:J
Last Name:PARKHURST
Suffix:
Gender:F
Credentials:PHD, LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 TROOPER LESLIE LORD MEM. HWY.
Mailing Address - Street 2:
Mailing Address - City:COLEBROOK
Mailing Address - State:NH
Mailing Address - Zip Code:03576
Mailing Address - Country:US
Mailing Address - Phone:603-237-9982
Mailing Address - Fax:
Practice Address - Street 1:53 TROOPER LESLIE LORD MEM. HWY.
Practice Address - Street 2:
Practice Address - City:COLEBROOK
Practice Address - State:NH
Practice Address - Zip Code:03576
Practice Address - Country:US
Practice Address - Phone:603-237-9982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-28
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH277M172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist